Organization
EAST WEST MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY NGUYEN (OWNER)
(407) 873-5646
Entity
Organization
Contact information
Practice address
431 W VINE ST, KISSIMMEE, FL 34741-4189
(407) 846-2001
(407) 931-1158
Mailing address
431 W VINE ST, KISSIMMEE, FL 34741-4189
(407) 846-2001
(407) 931-1158
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252987400
—
FL
Enumeration date
02/15/2008
Last updated
07/09/2008
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